wisdom imagination and time

Wisdom Imagination and Wisdom Imagination and TimeTime

At the very heart of medical At the very heart of medical science is a void that is science is a void that is

unpredictable and uncontrollable-unpredictable and uncontrollable-it is the murmurings of a human it is the murmurings of a human

voice. Cecil Helmanvoice. Cecil Helman

A cunning plan for todayA cunning plan for today

• 3 groups one for each word3 groups one for each word

• What does it mean to the What does it mean to the groupgroup

• One by one feedbackOne by one feedback

• Sandwich with my thoughtsSandwich with my thoughts

• SummarySummary

Wisdom Imagination TimeWisdom Imagination Time

• 3 groups3 groups

• What does this word mean to you?What does this word mean to you?

• Summarise on flipchart to feed back Summarise on flipchart to feed back to SBTW to SBTW

• 10 minutes10 minutes

TIMETIME

TIME TIME

• Usually means Usually means lifelife time time

• Connects people togetherConnects people together

• Different Different types-subjective/event/distant/ types-subjective/event/distant/ chronologicalchronological

• Stories create knowledgeStories create knowledge

• Quality v quantityQuality v quantity

Few quotesFew quotes

Souls mingle and blend together so Souls mingle and blend together so that the seam which joins them that the seam which joins them together can no longer be foundtogether can no longer be found

Live in the moment. Now is gone and Live in the moment. Now is gone and the future isn’t here yetthe future isn’t here yet

Doctors stick to chronological time but Doctors stick to chronological time but

Healers transcend timeHealers transcend time

TIMETIME

• ReflectionReflection

• DurabilityDurability

• CausalityCausality

• FlowFlow


The clergy promised life after death. The clergy promised life after death. Doctors promise life before death.Doctors promise life before death.

Flow- a state of effortless concentration Flow- a state of effortless concentration so deep that you lose the sense of timeso deep that you lose the sense of time

The idea that the future is unpredictable The idea that the future is unpredictable is undermined every day by the ease with is undermined every day by the ease with which the past is explained.which the past is explained.

TIME and MemoryTIME and Memory

We are depositories of sensory memories We are depositories of sensory memories in us and us in others linked by timein us and us in others linked by time

Regret and blame. We go back to a point Regret and blame. We go back to a point in time where a change would prevent us in time where a change would prevent us from beating ourselves up (regret) or from beating ourselves up (regret) or others beating us up (blame)others beating us up (blame)

IMAGINATIONIMAGINATION

IMAGINATIONIMAGINATION• Time-anticipation of the futureTime-anticipation of the future

• MoodMood

• Self dependentSelf dependent

• Foresight-we are judged on outcomesForesight-we are judged on outcomes

• Memory-ease of retrievalMemory-ease of retrieval

• Walking in someonelses shoesWalking in someonelses shoes

• Plausability and coherencePlausability and coherence

• ProbabilityProbability

System 1 and system 2System 1 and system 2

• System 1 is automatic responsive System 1 is automatic responsive reactive and often wrongreactive and often wrong

• System 2 is rational rationed and System 2 is rational rationed and designed to affirm rather than question designed to affirm rather than question system1system1

• Links to our evolution and means that Links to our evolution and means that first impressions do countfirst impressions do count

• We often decide emotionally and based We often decide emotionally and based on the ease of recallon the ease of recall


Regret and hindsight are worse when we Regret and hindsight are worse when we have put in a lot of foresighthave put in a lot of foresight

Unbiased appreciation of uncertainty is Unbiased appreciation of uncertainty is the cornerstone of rationalitythe cornerstone of rationality

Illusions of validity and skill are Illusions of validity and skill are maintained by professional culturesmaintained by professional cultures

We like cognitive ease-positive emotion/ We like cognitive ease-positive emotion/ good story/feels familiar/true/effortlessgood story/feels familiar/true/effortless

IMAGINATION and MemoryIMAGINATION and Memory

•Without memory we are stuck Without memory we are stuck between a past we cant recall and a between a past we cant recall and a future we cant anticipatefuture we cant anticipate

•Both creative and associative Both creative and associative memory need to work wellmemory need to work well

WISDOMWISDOM

WISDOMWISDOM

• KnowledgeKnowledge

• TruthTruth

• Time dependentTime dependent

• Expertise-intuition instinct impulseExpertise-intuition instinct impulse

• We decide emotionally but justify We decide emotionally but justify intellectually (tail wags the dog!)intellectually (tail wags the dog!)

• Enhancement/bettermentEnhancement/betterment

KnowledgeKnowledge

Know is related to things in the pastKnow is related to things in the past

Normality needs regular updatingNormality needs regular updating

Is psychosociocultural-belief based Is psychosociocultural-belief based valuesvalues

WISDOMWISDOM


• TruthTruth





TruthTruth

• Likelihood of it being accepted to be Likelihood of it being accepted to be true is linked to the ease of memory true is linked to the ease of memory retrieval construction and associationretrieval construction and association

• Pinball wizard. Truth-> Pinball wizard. Truth-> Certainty->Perception->BeliefCertainty->Perception->Belief

• Multiple observationsMultiple observations

• Important observersImportant observers

• Scepticism (system 2 activity)Scepticism (system 2 activity)

WISDOMWISDOM


• TruthTruth





TIMETIME

• CausalityCausality

• Truth is Time dependentTruth is Time dependent

• Expertise-instinct intuition impulseExpertise-instinct intuition impulse

• We decide emotionally but justify We decide emotionally but justify intellectuallyintellectually


Few quotesFew quotesIndividuals are a mixture of natural Individuals are a mixture of natural cause and chance occurrence.cause and chance occurrence.

Insight into the self+moral Insight into the self+moral sense+sufficient drive causes change.sense+sufficient drive causes change.

Success = talent+luck!Success = talent+luck!

The gap between experience and The gap between experience and feedback needs to be short to develop feedback needs to be short to develop expertise.expertise.

Intuition is simply recognitionIntuition is simply recognition

ExpertiseExpertise

• Cognitive dissonance/resonanceCognitive dissonance/resonance

• Learning cycleLearning cycle– ConceptualiseConceptualise– ExperimentExperiment– ExperienceExperience– ReflectReflect

• Barriers to learningBarriers to learning

Few quotesFew quotesWe have almost unlimited capacity to We have almost unlimited capacity to ignore our ignoranceignore our ignorance

Unbiased appreciation of uncertainty is Unbiased appreciation of uncertainty is the cornerstone of rationalitythe cornerstone of rationality

Illusions of validity and skill are Illusions of validity and skill are maintained by professional culturesmaintained by professional cultures

Knowledge is knowing that a tomato is Knowledge is knowing that a tomato is a fruit. Wisdom is not putting it in a a fruit. Wisdom is not putting it in a fruit saladfruit salad

MEMORYMEMORY• Ease of retrieval trumps the number Ease of retrieval trumps the number

retrievedretrieved

• We decide based onWe decide based on– Emotional response Emotional response – Ease of recall-recentlyEase of recall-recently

We remember the peak and the end bits We remember the peak and the end bits rather than the durationrather than the duration

MEMORY is the KEYMEMORY is the KEY

““Memory is the treasury and guardian Memory is the treasury and guardian of all things…..The life of the dead is of all things…..The life of the dead is placed in the memory of the living.” placed in the memory of the living.”

CiceroCicero

It is the link between Wisdom It is the link between Wisdom Imagination and TimeImagination and Time

THANK YOU ALL… for the memoriesTHANK YOU ALL… for the memories

wisdom imagination and time

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